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HomeMy WebLinkAbout4625 Saulsbury StreetINSPECTION RECORD ­73JU Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:20170VADDRESS: JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 304 Sheer Inspection 106 Foundation wall Insulation 305 Insulation uo Not your concrete I -nor 10 Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 304 Sheer Inspection 205 Plumbing Underground Ext. 305 Insulation 206 Water Underground 306 Mid -Roof [( uo Not c;over underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof [( t 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:- ADDRESS: " JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �� O q - P-7, �, % Job Address: c-/ s' ,; is�,,,,-„ s Permit Number: 2 o 1-7 0 Ss 4� C LlNo one available for inspection: Time q. 1!2 CKJaPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date:!', 03 -234 -Date:! �f` ° h Inspector: - �} DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: oho Job Address: (v5 Permit Number: 170 ❑ No one available for inspection: Time 1 2 �_ A PM Re -Inspection required: Yes No When corrections have been made, ca I'for re -i pection at 303%234- 9 Date: Inspector: C(iYl_ DO NOT REMOVE THIS NOTICE 44 City of Wheat Ridge "P Residential Roofing PERMIT - 201708602 PERMIT NO: 201708602 ISSUED: 10/25/2017 JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)445-1294 VALENTINE KATHRYN A SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,814.00 FEES Total Valuation 0.00 Use Tax 248.09 Permit Fee 236.00 ** TOTAL ** 484.09 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708602 PERMIT NO: 201708602 ISSUED: 10/25/2017 JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch = 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this perms I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfo and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Al ;,O� to ZZ -6 11-7 Signature of O or CONTRACTOR (Circle one) Dat6 I. This pe was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-cial and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code-�wany ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett U From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 25, 2017 9:34 AM -5-- To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes � residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4625 Saulsbury St. Property Owner Name Kathy Valentine Property Owner Phone 303-445-1294 Number (enter WITH dashes, eg 303-123-4567) 13 Vmm Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes VALENTINE Contract.pdf CONTRACTOR INFORMATION Contractor Business J & K Roofing Name i� Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 13000 W. 43rd Dr., Golden Co 80403 (Primary address of your business) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: Project Value (contract 11814 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) 14 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 31 Malarkey Highlander Asphalt House only -not doing well house SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 15 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 16 .. ,. .< _ �. ,� ». _,�,.= a,✓.r.,`ra�4r�:',,gay,.+�rv-^_�a�r.-,..,�,;•,s:.'-. °.... �, rrr^�a%Ad. • s. -m, ..�rd,.�l;'.?�:..-.;'�'--.:.� ..?"•.vfiw'•,�Myz»e4'sP'�R+ AL,' CONTRACT AK Roofing 4 BBB i 13 00 W. 43rd Drive I rvfi s 0 Go den. GO 80403 . i9e. ot.�ol Phone: 303-425-7531 • Fax: 303-425-1562 www.jkroofing.com Representative _W��L1 9 A I�A Contact 303-W , )Zhi Date 04. 201-7 Name _0 1 rk K r. I ^Phone Address _ q 1 ZS / c i 5 v r N Pinnacol Assurance 303-361-4000 Workers Compensation Insurance Policy #4079290 LABOR AND MATERIAL SPECIFICATIONS TERMS. AND CQNDITIONS. PLEASE READ CAREFULLY: X Recover roof with Color of shingles 'y c..tn c ✓✓✓T�_ Manufacturer's Warranty Lr� Tear off _()(1k_ ! _ Install Underiaymenwslir w e ..4* 71- Double all Eaves 7. Re -Flash Chimnney and// r Skylights C n M_ �►� *t 1&' New Valleys jjos tit Replace Ridge Yv k4 I . e Ventilation 7.0 1.1 d C -e 2k Galvanized Fasteners__(-, 014,15 Fri S t. g il t ?S Replace_— .3 Plumbing Jacks I Paint roof stacks to match V Install ,�. t o �' �.� Metal Edging c-vcS _AJAS Patio or Flat roof --To s w.- X___ S Year Warranty on labor I" J & K Roofing to furnish all material and labor - Permit: W�r_ *, t eluded ___ NOT Included Clean-up debris and haul off all trash from roof i4l Roll yard with magnetic roller Gutters cleaned of roofing debris Decking Repairs $�..�Ao _„__ Per S Hidden Layers (tear off) $ per layer arr -d- tPobcy Pka*.el 119-33 email Kc.A r•/� . t.41<�>1'„e L✓' k,P_o. City W49- t ` � Zip .3.3 00 Cincinnati Specialty Underwriters 303-653-0023 General Liability Insurance Policy #CS00061742 �1 Extra work -S_ �l►�E�1' 1�1Sv,ra�t rQ r ��'�M'f- ;cc d- w r *_ s or w211 rcJ The property owner is is not_ using proceeds from property and casualty insurance policy. Z” fits- $ -- Deductible if applicable $_ O Uv Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J&K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date t ' b uA mk& TOTAL ESTIMATE $. 2 f .s _ ALL PROPOSALS ARE SUBJECT TO MANAGEMEV APPROVAL JaK Representative _ Homeowner t.L,_ Date W7Date1_0jg1_j_? Homeowner Date AkGo tAorroeae Wan n Nu bw Expiration Date You have the right to recind this contract and obtain a full refund of arty deposit within 72 hours after entering the contract. If you plan to use the proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J+3 K Roofing is entitled to retain payments or deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201708602 201708602 4625 Saulsbury ST Residential Re -roof to 4/12 ISSUED: 10/25/2017 EXPIRES: 10/25/2018 install Malarkey asphalt shingles - 31 sq Pitch = *** CONTACTS *** OWNER (303)445-1294 VALENTINE KATHRYN A SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,814.00 FEES Total Valuation 0.00 Use Tax 248.09 Permit Fee 236.00 ** TOTAL ** 484.09 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708602 PERMIT NO: 201708602 ISSUED: 10/25/2017 JOB ADDRESS: 4625 Saulsbury ST EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles - 31 sq Pitch = 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this perms I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be perforyand that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Z.6 /!-7 Signature of O or CONTRACTOR (Circle one) Dat6 1. This pe was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalppermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable cotle,6sanpy�o�r�dinnance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 25, 2017 9:34 AM_ To: CommDev Permits 7, Subject: Online Form Submittal: Residential Roofing Permit Application r� Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4625 Saulsbury St. Property Owner Name Kathy Valentine Property Owner Phone 303-445-1294 Number (enter WITH dashes, eg 303-123-4567) 13 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes VALENTINE Contract.pdf CONTRACTOR INFORMATION Contractor Business J & K Roofing Name Contractor's License 019983 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-425-7531 13000 W. 43rd Dr., Golden Co 80403 Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: Project Value (contract 11814 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or i No Pitched roof (2:12 pitch or greater) 14 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12 31 Malarkey Highlander Asphalt House only -not doing well house SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 15 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Kathy Vendegna Email not displaying correctly? View it in your browser. 16 'I I so pill 00111111"W~ j CONTRACT JJ J&K Roofing k gBg 13000 W. 43rd Drive • Golden, CO 80403 - ssTMafi so -t Phone: 303-425-7531 • Fax: 303-425-1562 www.ikroofing.com Representative Kcjt,� _ Contact_ 33 - V Ys - ) Zit '1 Date 0G 201-7 Name �, r}c�. _ Phone 3�3 - I} - y�3 email.5�4 f �,n . �. f�� k,p. oZ) Address_ 6 Z-5-Srt City —zip 8003.3 Pinnacoi Assurance Cincinnati Specialty Underwriters 303-361-4000 303-653-0023 Workers Compensation Insurance General Liability Insurance Policy #4079290 Policy #CSU0061742 LABOR AND MATERIAL SPECIFICATIONS, TERMS, AND C NDITIONS. PLEASE READ CAREFULLY: A Recover roof with _M F, �A Color of shingles S, r0A C. Manufacturer's Warranty 1-r' Tear off _ 4n _1 C, .X 5�- Install Underlayment— i co "sf , Double all Eaves 1 Re -Flash Chimne and/Pr Skylights .� ��� �- '►� h CR New Valleys C�0.3 e rj�_ til- Replace Ridge +n! 451-n — a Ventilation RPA e- r r- AL J CA„ k _ Galvanized Fasteners__( 0AJJ S . n ice__ ?S Replace__ Plumbing Jacks !E Paint roof stacks to match ` Install ro ✓ , Metal Edging c-v-cS _ W Patio or Flat roof 0 f C_ o w, 1 X'..___ :5 Year Warranty on labor J & K Roofing to furnish all material and labor Wt%e • F' Permit: Pcluded ___ NOT Included 55 Clean-up debris and haul off all trash from roof 'I, Roll yard with magnetic roller Gutters cleaned of roofing debris u Decking Repairs $ per S Hidden Layers (tear off $ per layer ant tPorcy Ntorte�l tAc4uswr) '}j Extra work lsk - F4 TSO rVo7` *no At or weiI rCJ The property owner is is not_ using proceeds from property and casualty insurance policy. _ $ 6j� - C(tj-, d,wnJO j $ s3?. 6 j Deductible if applicable $ I., O C/0 Per Colorado State Law CRS § 6-22-105 which states; 100% the responsibility of the homeowner to pay this amount. J & K Roofing will not reimburse or promise to reimburse in whole or in part any amount of the deductible. Estimated Start Date f ' b TOTAL ESTIMATE $_ �3 Y �� 2 ALL PROPOSALS ARE SUBJECT TO MANAGEMEV APPROVAL J & K Representative Date tl3 1 Homeowner Date I�f Homeowner Date tMM Aw" C,0 j "— — WorVa8e Loan Nui.d,er1 Expiration Date You have the right to recind this contract and obtain a fup refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds fron) a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving written notice from your insurance carrier that your claim has been denied in whole or in part. However, J& K Roofing is entitled to retain payments or deposits to compensate for roofing work actuatly performed In a workmanlike manner consistent with standard rooting practices. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION FOR, OFFICE USE ONLY Date: 3 C"ity of W bat "jCSA 'ge 0 MUNn'y ,vFL(')PMENT (bm I PlanlParmit # Building & Inspection Services Division Z? 0 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 1111 !11111111prip llpq Address- SsL^e' 20!ty, State, Zi m41?00— OA%A ov-,ll M amm -_- Complete all information on BOTH sides of this form NEW COMMERCIAL I x w rw ELECTRICAL s UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL RESIDENTIAL w ':� !WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCEREPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE SYSTEM/APPLIANCEREPAIR REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER ;x s7 wkz to cz, Sq. FULFBtu"Gallons Amps Squares Other CERTIFICATE OF OCCUPANCY City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 110967 Issued: 09/22/11 Stipulations: Enclose Existing 20' x 20' Carport. This certificate verifies that the building constructed and/ or the use proposed of the building and /or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 4625 SAULSBURY ST Parcel Number: 39- 231 -05 -014 Owner: Kathy Valentine Contractor: Ken Relyea Affordable Garages 177 W. Alameda Ave. Denver, CO 80223 For the Following Purpose: Res. Garage /Carport Code Edftions NO change shall be made in the USE of 06 ICC /2008 NEC this building without prior notice 2006 SCC /2005 NEC and a new Certificate of Occupancy _ 2003 ICC /2005 NEC from the City of Wheat Ridge. �-S rinkler System i Bui Ahng Inspector Zoning Administrator CER7I' I F CATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 09/28/11 10:23:13 City of Wheat Ridge - Page 1 bp70l -ls PERMIT INFORMATION - 110967 mmackey PERMIT INFORMATION: Permit#: 110967 Address: 4625 SAULSBURY ST Permit Type: Res. Garage /Carport Parcel Cd: 39- 231 -05 -014 Permit Dt: 08/16/2011 OWNER: Kathy Valentine Expires: 08/15/2012 Address: City /St /Zip: LAND PARCEL INFORMATION: Zone Cd: Unassigned DU: 1 SetBacks- Front: 0.0 Funct Use Unassigned Last Zone Dt: Left: 0.0 Subdivision: COULERAN GRANGE Annex Dt: Right: 0.0 Cont Type: Miscellaneous Lot: Block No 0 Back: 0.0 Legal: JOB DESCRIPTION: Enclose existing 20' x 20' carport FEES QTY DUE PAID: Permit Fee 9,260.00 204.30 204.30 Plan Review Fee .00 101.89 101.89 Plan Review Addtiona .00 30.91 30.91 Total Valuation 9,280.00 .00 .00 Use Tax 9,280.00 167.04 167.04 ---- - - - - -- --- - - - - -- 504.14 504.14 CONTACTS: go CIS Affordable Garages Ken Relyea 177 W. Alameda Ave. Denver, CO 80223 3033843242 Owner Kathy valentine 3034451294 PARCEL INFORMATION: 10 Structure Type BANC 20 Year Built 1955.00 30 Property Type RESID PERMIT CONDITIONS: KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRC, 2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES- 06/16/11 plans reviewed and approved with notes on plans 08/16/11 CREATED FROM APPL# 11 -0224 INSPECTION INFORMATION: # TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 1 FOU:FOUndation Insp. 01 -9461 08/22/11 no RC 08/23/11 08/23/11 COMPLETE 2 SHE:Sheathing /Sheer Ins# 01 -9461 08/25/11 Us KC 08/26/11 08/26/11 COMPLETE 3 BFI:BUilding Final Insp 01 -9461 09/21/11 no MV 09/22/11 09/22/11 COMPLETE INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 °�� ° nancy /Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments omments Monolithic Slab Reinforcement Lath / Wall Tie Caissons Rough Electric Concrete Encased Ground (CEG) Rough Mechanical Footing /Stemwall P.E. Letter 4-- Gas Piping m>Z -i gz.3 n s'n��A PESO .vat Uo NOT Four GOn Cretp_ Prior I n Annrnval rlt Thp Ahnva Incnartinna Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) g `y _ Roof Sheathing Sewer Service (Underground) Lath / Wall Tie Water Service (Underground) Rough Electric Plumbing (Below / In -slab) Rough Mechanical Heating (Below / In -slab) Gas Piping Uo Not Gover Unoeraround or Below /ln -Slah Work Prior To Annrnval of Tho Ahnva Inenarfinnc Rough Inspections Date Inspector Comments omments � '� ��� X '77� Above Rough Inspections Wall Sheathing g `y _ Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Rough Framing Insulation Drywall Screw/ Nail Final Inspections Date Inspector omments Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303 - 235 -2846. For ROW and drainage inspections call 303 - 235 -2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. "Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather I two/ coo -coca vuwe -, Novo/ cor -ayca rnx Inspection Type , ✓ e- Job Addres Permit Number e z rasT 7-'01 Apo ar 6 w r x n 4 € R ❑ No one available for insoecti Tim` AM /PM r CITY OF WHEAT RIDGE 1 Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOTICE I Inspection Type Job Address >r®a Permit Number � &/ ♦ r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Job Address 1 14 .?5 5 Permit Number iljo �7 ❑ No one available for inspection: Time its City of Wheat Ridge Residential Electric PERMIT - 111087 PERMIT NO: 111087 ISSUED: 09/12/2011 JOB ADDRESS: 4625 SAULSBURY ST EXPIRES: 09/11/2012 DESCRIPTION: Wire and power up garage * ** CONTACTS * ** owner 303/445 -1294 Kathy Valentine sub 720/690 -9675 Michael Velasquez 11 -0192 Results Electric ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0009 BLOCK /LOT #: 0/ - *- -FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 560.00 FEES Permit Fee 29.90 Total Valuation .00 h Use Tax 10.08 ** TOTAL ** - ..39.98 Conditions: Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /,d�mpanying ap roved plans and specifications. + / Signature of OWNER or CONTRACTOR (Circle o ) Date 1. This permit was issued based on the irkQrmatiQWprrvided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Building. ottical Date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 7 - City of F�ec���le Date: CO MMUNrn , DEVELOPMENT -- Plan # Building & Inspection Services Division Permit # 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 / Building Permit Application Property Address Property Owner (please print): K i 7N�/ /�f LL= ,✓�Y�✓ve Phone: 3 Aqs - Mailing Address`. (if different than property address) Address: Citv. State. Zio: tolltractol': I, s V Z. `C 1 C, Contractors City License #: Phone: S;ub.Contract `t' Electrical: K &suLrr Z'45c7.4se Plumbing: Mechanical: City License # 11 p /qa- City License# City License # Descra�itionof ysiorl�s Contract Value: v Review Fee (due at time of submittal): roved C7 po rewew regu�red =,� Bldg Valuation:$ tt�7' for inspection: Time 4;M, AM red: Yes t AN 6 ve been made, call for re jnspection of 303- 234 -5933 . Inspector: VOT REMOVE THIS NOTICE ♦� •� CITY OF WHEAT RIDGE Building Inspection Division �f (303) 234 -5933 Inspection line (303) 235 -2855 Office, - (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type F12 7A/, Job Address V, s ��SPa'u v si Permit Number tf01"/� 7 e. ` ❑ No one available for inspection: Time AM/PM Re- Inspection required: Yes C> F -. ,pector: ' City of Wheat Ridge ]rte UA USE: UA Res. Garage /Carport PERMIT - 110967 PERMIT NO: 110967 ISSUED: 08/16/2011 JOB ADDRESS: 4625 SAULSBURY ST EXPIRES: 08/15/2012 DESCRIPTION: Enclose existing 20' x 20' carport * ** CONTACTS * ** gc 303/384 -3242 Ken Relyea 01 -9461 Affordable Garages Owner 303/445 -1294 Kathy Valentine ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0009 BLOCK /LOT #: 0/ Conditions: KC: Approved per plans and red -line notes on plans. Must comply with 2006 IRC, 2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to field - inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all ant In this document as parties to the work to be performed and that all work to be performed is disclosed in this den an� its' accompanying approved plans and specifications. of //OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. S. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Building Offical Date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ............................ C�t f / eft Date: 8 --'"' COMMUNITI' D VELOBMENT Plan # / ly Building & Inspection Services Division permit # 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address Property Owner (please print): � �[ �� � � . Phone: 4LP�-- I Z / Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: a-r r �c --h— L— Contractors City License M Phone: `� LI -3212 Electrical: Plumbing: Mechanical: City License # City License # City License # bescrititiorl of vaorlc`: G��OSE. 2O �cZr� e.Ak— P&9: - - Contract Value: j . $ ��L — Review Fe (due at time of submittal): Squares BTU's Gallo _ Amps Sq Ft. $ / , J'9 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate, applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application.. CIRCLEONE: (OWNER) (C TRA or (AUTHORIZED REPRESENTATIVE of (OWNER) (CONTRACTOR)) PRINT NAME: 1! 2 Pi 42 SIGNATUR 6 /& DATE: e Ke�iewer ; FIRE pEPA�. El Bldg Valuation: Wheaf Ridee Bufildin Dept: -- k S�gne` plan checker T Work shall comply with the following codes: 2006 IRC, 2006 IECC, & 2005 NEC. _ t t V , y q4 APPROVED Subject;to Field'! ;pections e pitch Cei lin i Provide roof ea t i ed- exalt — m � tie downs p +neeea- e�aWe e-a61 �J Solid 2x biocidng between rafters that are 2x12 or greater Z �O.C. — examp)e x ,.19 24'O.C,) Double 2x�top plate ; Span _ Span. (example:23'5) Note: Pre - engineered roof trusses wltruss clips may be used in lieu of Ceilin$ height roof structure shown. Sidin 1 Prsi,�t Diagonal wind bracing or braced wall panels g ( e x ample: lapwFtlt) Cal comers and each 25' of wall. Wall sheathin � (exampe:+ /i erteAOrpryanadl • i r • v .. a . : s. • .. : •. 7 "v 2x LLstttds @__Ve O.C. y y y ,. .. +• (example:2x6 ®24'O.C.) >t A Concrete Encased Ground r'. Cont. 2X plate required for new service B " (example: 2x6) ° ' "' /' Wall insulati J . + °'° •• " ",• ".- (lineal - exartryk:, R -19 Fl6erg1as5 EalfS) ❑ Foundation Detail A ' d ❑ Foundation Detail B - _ Footing size 8_X Ve (aeepage4) (example:6'xt6) this c h uye > >> international Co C onal Code Council as a basic plan submittal under under the International Residential Code. It is not intended " �` 1e r to cover all circumstances. Check with your Department of b Building Safety for additional requirements. ,. Fill in the blanks on pages .2 and 3 with dimensions 1 4&26 5 ✓ V1 5-31 UE t and materials which will be used to build the structure. Please print legibly. 2. Indicate in the check boxes on page 3 which detail from page 4 will be used. Note. Heated garages may require special provisions. Dimension 2J 7 i Indicate , , truss di ction O Garage is heated pfV aO — ❑ Garage is n6theated Show door and window header sizes and location . and size of landin�q in front of door a i Floor Dimension slope �y 3'!z" minimum / eadei concrete slab tle (� $ z . Note: if roof trusses or rafters bear on header, �y special header design maybe required g �t 10 veil h Double 2x4 or 2x6 trimmers each end of overhead door header <�1A ' Garage door opening Garage door opening width 1 U x Dimension * *See Braced Wall Panel Detail on page 4 to Dimeris W el comply with section R602.10. . U � C ��� �����` ��"+, c�^" ���. "�",fi't"�'�r�'r�r�jS�k4�Y,}'Ss j n.v.�,C n� S4 t^'3k c`�', �,x �'�4 yq {� �v� x �.�;d✓ 1'T` �" "i� `�* a ��, s i c y e^..�2 ¢�yk. 7 S �vN^�F`�•a�.wR� ^ F'' f { 4� i u �, `�u��f��.QJ �t�itldit�����.���'�' 1 ni � s p #n`chPx�r i CITY OF WHEAT RIDGE Building Inspection Division � (303) 234- 5933Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax�� IM0 INSPECTION NOTICE Inspection Type: , x Job Address: 40 7 5 5'19IC -11-5 73f -t.a. u G, Permit Number: ir. 9 ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been m de, /I for re inspection at 303 234 - 5933 Date: Inspector DO NOT RE 90 THIS NOTICE i Cit of ^� h6 y_ y at Y Dater 1 7- cM) ° 10 C< MMUN(Ty DEVELOPMEN Plan # Building & Inspection Services Division Permit # , D I, 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application property Add�ess . �,e � Z )'2� Property Owner (please print): &$ UAd.OLTI liLki Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Eowracto: frt�rJY tG G-1T �C�t° Tl2 1 COUP . Contractors City License #: Phone: 303 Electrical: Plumbing: Mechanical: City License # City License # City License # DLei6 II0ilO17 0 1fli01{S D6)0 I(Vt8![6no SIGNATURE: �crii�`�Mc°i- 2 6�xo ICEt UpGtAbe 70 0nA Contra Contractva lue: KI+ew i2gw (Dr-te r� 9Ag9 t &NA Retut7r -(L �Ar Review Fee (due at time of submittao: Squares BTU's Gallons _ Amps " Sq Ft OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants; easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full .responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR). or (AOTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINTNAME: D6)0 I(Vt8![6no SIGNATURE: �crii�`�Mc°i- �y�.r DATE: f 7 - 90 - A ) ,�' FIRE pEPARTh7EN� p approvetl}v/ conimen 17- d7sapproved fl rlo reV1eY. requlfed Bldg ValUaYlon $ - i r ' DEPARTMENT OF COMMUNITY DEVEIOPMENT 7500 wES7 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M92I118315 237-6944 EXT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW. APP ATION FOR MiSCELLANEOUS PE M T JOBADDRESS ~!~°ZS -v~~r7 OWNER ZAX~e~ CONTRACTOR ADDfiESS S,A1jS.~d(L2-7 ADDRES5, ^ y,31'7 T~/JAJ~~O N PHONE t~ZIP CODE CITY l--~IG}t (J.Ip~C9L1 ZIP CODE :ONTRACT PRICE $ PHONE vN (J1' 9 1 D y LICENSE NO. f SB53 1. TVPE Ground ❑ ProieofinpLJ Ofnv 5 or 0 Fon 12. MATERIAL Tofal Squon Fae $IGNS 3. ILWMINATION Yas❑ No❑ Type Elftt. Permif No. 4 SET BACK FROM PROPERTYLINE N_ S_ E_ W Zona_ Approvad,Zme Inspeator (SOSCifywhichisfront) ❑ ❑ ❑ ❑ Disapproved i. TYPE SolidO More Than BO% Open❑ Lest Than 80% Open FENCES MATERIAI HeiQht 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W ione_ Approved,Zons Inspeetor . (Spscify whieh ie front) ❑ ❑ ❑ ❑ piaopDrovsd OTHER 12. - 3. y DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GI (SETBACHS OR PROJECTqNS INCIUDED) INSPECTION TICKET JOB ADDRESS my~ DATE: BLDG. PERMITM I S 3/Y PERMITN BLDG. CONTR. ''vle SUBCONTRACTOR S7REET NAME DATE INSP. REQ. ~"S SHOW OISTANCES FROM THE M41N BUILDING TPAOJOINING HOUSES, STREETS, ~ DISTANCE TO PROPERTV IINES, NOT MAXIMUM OR AVERAGE DISTANCE. TYPE OF INSP. - ~ Z APPLICATION FOR PLUMBING; ELECTRIC INSPECTION MADE ~ THIS APPLICATION WILL BECOME A PERMtT TO PERFORM THE INDICATED WOR PERMIT WILL EXPIRE 60 DAVS FROM DA'fE OF ISSUANCE !F REMARKS ELECTRICAL PERMIT STATE IICENSE N0. PLUMBING PEF STATE LICENSE N0. AILMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM I ST dm N0. WATER CLASET FORM W R i TEMPORARY METER WASH 80WL . . b e NEW SERVICE - AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER LIGHTING SINK HEATING GARBAGE DISP POWER SUB-CIRCUITS WA7ER HEATER Refri rant Gou UTILITY(RANGE,DISPOSER,ETC.) AUTO. WASHER Pbunds CMr s FIXTURES DISH WASHER AUTOMATIC SPRINNLER SYSTEM WIRING MOTORS d CONTROLS FIqOR DRAIN ELEVATOR SIGN$ URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS VER I HP TOTAL FIXTURES REMARKS ' w\ I hereby ncknowledqe thot this oDPlico- fion u correct and understand thot I tannot starf this projett unfil this oD71i- cofion ie approved. I shall comply wiih ths lawa oi the State ol Colorado and io ihe ZoninQ ReQulations ond Buildinp Code of the City ot Wheat Ridqe. Any violalion of the above terma will couae immediote revowtion of this permil PERMIT FEE USE TAX TOTAL FEE $ ROVED CHIEF BUILDIN SPECTOR,City o heat Ridye Date Issued ~ - NOT VALID UNLE55 I e(4 y4'C6q 2 CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS 4o01icaM. sionawr.